Davis, Mark

Davis, Mark is an individual health care provider with primary practice located at 834 N Seminary St Suite 503, Galesburg IL 61401-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Mark can be contacted via phone (309) 343-7773.

Contact Information

Primary practice address
834 N Seminary St Suite 503 Galesburg IL 61401-2852
Phone: (309) 343-7773
Fax: (309) 343-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois

Profile Details

NPI number 1225079379
LBN Legal business name Davis, Mark
Credentials M.D.,F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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